AEGIS YOUTH, LLC
Residential Treatment Facilities at 910, Provo, UT

License number
Utah 13427
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Illness
Owner
Name: MR. ASHLEY KENNON COOPER JR.
Title: OWNER
Phone: (801) 636-3816
Address
Address
982 W 910 S, Provo, UT 84601
National Provider ID: 1851564165
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AEGIS YOUTH, LLC at bizstanding.com

AEGIS YOUTH, LLC

982 W 910 S, Provo, UT 84601

Status:
Inactive
Registration:
Jul 12, 2005
State ID:
5959441-0160
Business type:
LLC - Domestic
Agent:
Ashley K Cooper,982 W 910 S, Provo, UT 84601 (Physical)

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